Wednesday, 15 August 2007

Reality Testing and Reality Assumption

 There are many reasons why I am critical of the term and label "psychotic". Firstly, because it is a term, or similar term, sometimes referred to in an argument to invalidate or suppress another persons point of view or perspective.  The term or label of "psychotic", could therefore be being used simply to deny and suppress the other persons valid point of view or perspective, personally, interpersonally, socially, politically, and so on.

The label of "psychotic" is therefore a perspective controlling machine, and like a machine, it often operates mechanically, and without it's own true or unique perspective or consciousness.

I am also in some ways critical of the meaning of the term and label "psychotic", which means, "out of touch with and not corresponding to reality".

There are many different philosophical, political, and theological interpretations of reality, but where psychiatric social and mental health is concerned, anything which differs from the professional medical psychiatric and social or mental health perspective, can therefore be deemed to be out of touch with and not corresponding to reality, and therefore "psychotic".

In fact, this mentalist labelling of "psychotic", is in itself exclusive, and is in itself out of touch with other interpretations of reality - which are just as corresponding to reality - and just as realistic.  Thus, the absence of the knowledge of the mentalism of the term, process, and label "psychosis", could itself be said to be "psychotic" in some ways.  It is "psychotic" in the sense that it is trying to suppress another point of view or perspective, as in this way, it is out of touch with and not corresponding to another person's living reality.

The other main reason why I am critical of the term "psychotic", is that whilst I accept that a person can be hallucinating and having delusions of people, things, and forces which are unreal and untrue, on some deeper level of social interpretation their ideas might fit reality in a different way, and their ideas might make a lot of sense, in context to the person's past and present social and life-experiences, and in context to the voices social and cultural meaning.

Reality testing, can also often make assumptions about another person's grasp of reality, in order to feel superior and to feel more in touch with reality.  The main assumption this makes, is to assume that just because in some part of the person's brain, the person is hallucinating voices or whatever, then to assume that whole person's brain and consciousness must be out of touch with reality and therefore hallucinating.

From personal experience, I know that is possible to be both hallucinating voices, and agreeing or colluding with some of the delusions of those voices, and yet to still to be in touch with reality, and still be in touch with the knowledge and awareness that the voices and their content are not real.  This complex configuration is very difficult for psychiatrists to grasp and understand, partly because medical psychiatry - and which is a very linear thinking - fails to grasp or understand dialectical thinking, and which can operate differently, and somewhat paradoxically, on many different levels.

In order to understand madness, it helps if you have experienced it, or experienced something similar to it.  There is indeed a point which the delusions of hearing voices, can take over completely, as in the throes of a mental breakdown, but otherwise it is quite possible to experience both delusion and reality at the same time.

This dialectical thinking is in some ways much better than the exclusive reality perspective, because it can grasp reality and have a firm grip on real people and things, and yet it still has the creativity and imagination to receive other interpersonal, social, and cultural meanings of things. The voice hearer can therefore sometimes be an interpersonal, social, and cultural filter, which takes interpersonal, social, and cultural meanings, and places them together in different patterns, in order to have a much wider dialogue and understanding of society and reality.